Neuro Q

Question 1

Seizure disorder

Causes

Answer 1

Idiopathic (genetic) 
Cerebral disease 
Hypoxia 
Fever childhood 
CVA infection 
Brain tumor 
Etoh withdraw

Question 2

Seizure disease

Diagnostic test

Answer 2

H&P
Whiteness disciption 
EEG
Cat MRI
Skull X-ray

Question 3

Seizure drugs

Wtd

Answer 3

Alter movement NA, K, ca , mag ion

Question 4

Side effects of seizure meds

Answer 4

Idiosyncratic or allergic disorders
Acute toxicity (initially)
Chronic toxicity- later

Question 5

Barbiturates

Name, contraindication

Answer 5

Ibitol
Phenobarbital- long acting, variety of seizures, usher for insomnia, may cause dependence, drowsiness, vit deficiency- d folate 12 , laryngeal spasm

Severe respiratory depression.

Question 6

Diazepam

Meds , monitor

Answer 6

Give iv- watch for respiratory

, iv- occurs in minutes anticonvulsant -20 minute
Only for short seizure control
Iv-may cause hypotension, weakness, tachycardia respiratory depression
Monitor 5-15 minutes iv
No other Cns or alcohol
OD- flumazenil

Question 7

Hydantoins

2

Answer 7

Phenytoin

Dilantin

Question 8

Phenytoins
5 side effects
Severe

Answer 8

Nay cause arrhythmia bradycardia v fib hypotension hyperglycemia

Severe- nystagmus twitching insomnia neuropathy

Question 9

Dilantin

6 se

Answer 9

Regular lab test seem drug levels 
Vit k affect metabolism 
For blood dyscrasias (abnormal feels) 
Bleeding 
Causes Gi upset
Can take food

Question 10

Hydantoins
(Contraindication)
4

Answer 10

Mix with saline only infuse max 50mg/ min
Don’t give IM
use large vein or CVC
AVOID Hands - prevent vasoconstriction. (Purple glove)

Question 11

Phenytoin- like agents

3

Answer 11

Valprioc acid
Mechanic is same
Prevent migraines headaches

Question 12

Succinimides

Answer 12

Uximide endin
Delay calcium inflex into neurons
Only in absence seizures

Question 13

Seizure med

Answer 13

Q 6 months detect blood dyscrasis and therapeutic levels

Etoh & cns depessant - synergistic discourage use